Tech Expert: HealthCare.gov Discredits Liberalism

Patrick Ruffini

4 years ago

Credit: KAREN BLEIER/AFP/Getty Images/Newscom

The Internet does weird things to people. One of those weirdnesses comes from the tech-savvy community on the left, who sincerely embrace an agile, entrepreneurial, bottom-up culture in their professional and voluntary pursuits, yet forcefully argue for the top-down paternalism of forcing people to buy health insurance, imposed by a bureaucracy that can’t build a website.

President Obama wants you to believe the disastrous launch of HealthCare.gov won’t impede the same bureaucracy from implementing Obamacare more broadly. But the odds aren’t good, for reasons that go far beyond the website itself.

No one has a better understanding of this issue than Clay Johnson, who traded partisan politics (including helping to elect the President in 2008) for helping government build better technology. He is furious, and rightly points out that the issue stems from federal procurement laws.

But things like bad procurement laws don’t come out of nowhere. They arise in dysfunctional cultures that are the result of highly politicized decision-making processes. Part of the blame lies with successive Congresses. But part of it, if we’re being honest, is the rigidly bureaucratic culture of government itself. No one who values getting things done quickly and efficiently would ever build a system like the one we have now.

Congress could design and federal IT regulators could enforce a new procurement law that was the epitome of agility and nimbleness, one that would allow for tiger teams of Mark Zuckerberg and Sergey Brin’s best engineers to tackle things with “Move Fast and Break Things” gusto. But such a law would be the antithesis of the modern administrative state that is a product of 20th century liberalism.

I get that progressive techies didn’t set things up that way, and left to their own devices, can produce pretty good results (see the 2012 Obama campaign). But the governing philosophy they support is at odds with the startup mentality they also embrace. For better or worse, the impulse for a bigger government that makes more health care decisions goes hand in hand with bad procurement laws administered by a unionized federal workforce bullish on routine and bearish on innovation.

This is how we get a bureaucracy that, when it comes to technology, moves slow and still breaks things.

Nor is this critique purely a partisan one. In 2005, I worked in the CIO’s office at a federal agency, and saw how the big IT contractors (like CGI) served as an extension of the government itself, colluding with the federal bureaucracy to shut out upstart competitors. At the time, the Bush Administration was pushing to outsource more of the government’s technology work. Ostensibly, private contractors would compete with the federal workforce for big chunks of the IT work. In our case, though, the incumbent contractor found a way to join forces with the feds. Knowing that the fix was in, no one else would bid. The incumbent public-private consortium was awarded a $90 million-a-year contract, effectively in a no-bid process, all done under the aegis of the Bush Administration’s push for more private-sector involvement.

The Obama Administration came into office with some good impulses, even talking up procurement reform. But it has utterly failed to deliver on those promises.

We can and should talk about the specifics of procurement reform. Fixing a badly broken federal technology infrastructure isn’t, and shouldn’t be, a partisan issue.

Patrick Ruffini is president of Engage, a digital agency with clients including Fortune 500 companies, presidential and statewide candidates, technology startups, and issue advocacy campaigns. A version of this post originally appeared on his Tumblr blog. You can follow him on Twitter @PatrickRuffini.